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Simultaneous ex vivo Functional Testing of Two Retinas by in vivo Electroretinogram System
Published on: May 6, 2015
A case of bilateral, acquired, and acute dysfunction of short-wavelength-sensitive cone systems
Kazuki Kuniyoshi1, Hiroyuki Sakuramoto, Akira Nakao
1Department of Ophthalmology, Kinki University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama, Osaka 589-8511, Japan. kazuki@med.kindai.ac.jp
Abstract:
To report a case of bilateral, acquired, and acute dysfunction of short-wavelength-sensitive (SWS) cone systems. The case was a healthy 39-year-old man. He noticed sudden onset of bilateral abnormal color vision. Ophthalmic examinations revealed normal fundi in both eyes. Farnsworth panel D-15 test and Farnsworth-Munsell 100-hue test showed tritanopia. White-on-white static perimetry showed no abnormality; however, blue-on-yellow static perimetry detected remarkably reduced sensitivity at the lower visual field in both eyes. ISCEV-standard full-field electroretinograms (ERGs) were normal; however, blue-on-yellow ERGs showed reduced amplitude of b-wave that was derived from SWS cone systems in both eyes. He was observed for 1 year, and no improvement in color vision was found during the observation. This is a unique case which showed bilateral, acquired, and acute dysfunction of SWS cone systems. The cause of the acquired tritanopia remains to be known.
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